There will be two phase II cohorts for pembro plus trastuzumab: one cohort will be for patients with unresectable HER2 overexpressing gastric or GEJ cancers, the other cohort will be for patients with HER2 overexpressing metastatic breast cancer (MBC). The pembro plus ado-trastuzumab emtansine phase II arm will be for patients with HER2 overexpressing MBC. There will be two phase II cohorts for pembro plus cetuximab: one cohort will be for patients with HNSCC, the other cohort will be for patients with K-ras, B-raf, N-ras wildtype metastatic CRC.
Pembrolizumab 2mg/kg administered intravenously over 30 minutes every 3 weeks. Pembrolizumab will be infused prior to the start of the assigned monoclonal antibody (Mab) arm. . Dosing for the Mab arms will begin as follows: Arm 1: Cycle length is 21 days. Intravenous (i.v.) trastuzumab 6 mg/kg on day 1 every 21 days. Arm 2: Cycle length is 21 days. i.v. ado-trastuzumab emtansine 3.6 mg/kg on day 1 every 21 days. Arm 3: Cycle length is 21 days. i.v. cetuximab 400 mg/m2 on cycle 1 day 1, then i.v. cetuximab 250 mg/m2 on day 8. Each subsequent cycle will be i.v. cetuximab 250 mg/m2 on days 1 and 8 every 21 days.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
16
Western Regional Medical Center/Cancer Treatment Center of America
Goodyear, Arizona, United States
Determine the Recommended Phase 2 Dose (RP2D) of Monoclonal Antibody Therapy (Mab) in Combination With Pembrolizumab (Pembro) in Subjects With Advanced Cancer
PI left site. Study was prematurely terminated. No additional study items were conducted including, data collection, results or statistical analysis completed.
Time frame: 3 weeks
Frequency of Grade 3 or Higher Treatment-related Adverse Events by CTCAE 4.03
PI left site. Study was prematurely terminated. No additional study items were conducted including, data collection, results or statistical analysis completed.
Time frame: up to 12 months
Response Rate by irRC and Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Criteria
PI left site. Study was prematurely terminated. No additional study items were conducted including, data collection, results or statistical analysis completed.
Time frame: 12 weeks
To Determine the Overall Survival (OS) and Progression-free Survival (PFS)
PI left site. Study was prematurely terminated. No additional study items were conducted including, data collection, results or statistical analysis completed.
Time frame: up to 12 months
To Characterize Changes in Circulating Tumor DNA in Patients Enrolled on This Study
PI left site. Study was prematurely terminated. No additional study items were conducted including, data collection, results or statistical analysis completed.
Time frame: up to 12 months
Textural Changes Identified on Imaging That is Done Per Routine Practice
PI left site. Study was prematurely terminated. No additional study items were conducted including, data collection, results or statistical analysis completed.
Time frame: 12 weeks
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